black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

LORI FORD

PRODUCER NON-RESIDENT

License Number:
PRN261548
Status:
First Licensure:
12/11/2015
Cancel Date:
None

Mailing:
CONCORD, NH 03301
Phone:
+1 (603) 227-2017
Fax:
+1 (603) 224-4256
Email:
lford@combinedservices.com

History

License Type Start Date End Date
PRODUCER NON-RESIDENT 12/11/2015

Agency

Name Issue Date License Number Expiration Date Cancel Date
COMBINED SERVICES LLC
12/11/2015 AGN45198

Employer

Name Issue Date License Number Expiration Date Cancel Date
MAINE DENTAL SERVICE CORP
03/15/2021 NPD29330
PROVIDENT LIFE & ACCIDENT INSURANCE COMPANY
12/14/2015 LHF250 07/28/2021
RED TREE INSURANCE COMPANY INC
06/12/2019 LHF174438
TRUSTMARK INSURANCE COMPANY
05/14/2016 LHF132 04/28/2022
UNUM LIFE INSURANCE COMPANY OF AMERICA
12/14/2015 LHD145 07/28/2021

Authority

Description Issue Date Termination Date Status
HEALTH 12/11/2015 Active
LIFE 12/11/2015 Active

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN):
9375804

Other Addresses

Address Type
2 DELTA DR STE 301
CONCORD, NH 03301-7427
Office

An active license/permit may still be subject to limitations and restrictions as a result of disciplinary action imposed. Please contact the specific licensing board about specific disciplinary actions.

Date: 05/19/2025 01:57:05 PM